Organization
ME CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ROBYN ELDER LCSW (OWNER)
(405) 474-1560
Entity
Organization
Contact information
Practice address
1812 SE 8TH ST, MOORE, OK 73160-8341
(405) 474-1560
Mailing address
1812 SE 8TH ST, MOORE, OK 73160-8341
(405) 474-1560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7649
LCSW LICENSE
OK
Enumeration date
04/12/2022
Last updated
04/12/2022
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